| NPI | 1376060038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002342) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S1610506TRNE) |
| 104100000X Social Worker (Licence: OH S.1802324) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-03-17 |